Phys Clinical Cases · infectious
Viral Hepatitis — DCE Clinical Case
DCE short-case station: examine this patient's abdomen — chronic liver disease signs in a patient with treated chronic viral hepatitis, a presentation template, and the surveillance-focused discussion that follows.
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FRACP DCEMRCP PACES
Prompt
DCE short-case station: examine this patient's abdomen — chronic liver disease signs in a patient with treated chronic viral hepatitis, a presentation template, and the surveillance-focused discussion that follows.
The instruction decoded
"Examine the abdomen" in a patient with viral hepatitis asks for three things: the signs of chronic liver disease, the signs of portal hypertension, and a synthesis that ends in a management plan rather than a list of signs. [4]
References6ShowHide
- [1]Terrault NA, Lok ASF, McMahon BJ, et al. Update on prevention, diagnosis, and treatment of chronic hepatitis B: AASLD 2018 hepatitis B guidance. Hepatology (Baltimore, Md.), 2018.PMID 29405329
- [2]Singal AG, Llovet JM, Yarchoan M, et al. AASLD Practice Guidance on prevention, diagnosis, and treatment of hepatocellular carcinoma. Hepatology (Baltimore, Md.), 2023.PMID 37199193
- [3]Ghany MG, Morgan TR, AASLD-IDSA Hepatitis C Guidance Panel Hepatitis C Guidance 2019 Update: American Association for the Study of Liver Diseases-Infectious Diseases Society of America Recommendations for Testing, Managing, and Treating Hepatitis C Virus Infection. Hepatology (Baltimore, Md.), 2020.PMID 31816111
- [4]Liu Y, Zhao Y, Gao X, et al. Recognizing skin conditions in patients with cirrhosis: a narrative review. Annals of medicine, 2022.PMID 36308406
- [5]de Bruyn G, Graviss EA A systematic review of the diagnostic accuracy of physical examination for the detection of cirrhosis. BMC medical informatics and decision making, 2001.PMID 11806763
- [6]Curry MP, O'Leary JG, Bzowej N, et al. Sofosbuvir and Velpatasvir for HCV in Patients with Decompensated Cirrhosis. The New England journal of medicine, 2015.PMID 26569658